Average Medicaid Dental Cleaning & Exam Payments in Hilo, HI: $44.66
Avg. Paid
$44.66
Range
$31.50 – $179.15
Total Claims
69,313
Providers
15
Typical Payment Range
Typical Medicaid Dental Cleaning & Exam payments fall between $25.53 and $40.26 per claim (median: $32.14). The top 10% of payments exceed $55.10.
Based on per-provider averages across all Medicaid claims in this category.
Routine dental cleaning (prophylaxis) and oral examination. Includes scaling, polishing, and assessment of oral health.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dental Cleaning & Exam in Hilo, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nestor M Santiago
C/O Island Ohana Dental |
$37.67 | 17,370 | 17,367 |
|
Ammon Kau
275 Ponahawai St |
$36.65 | 12,177 | 12,177 |
|
Thomas Matthew Griffith
2530 Kilauea Ave |
$38.30 | 11,597 | 11,589 |
|
Brice H Takata
445 Waianuenue Ave |
$38.45 | 10,922 | 10,920 |
|
Paul H Byun
445 Waianuenue Ave |
$40.03 | 4,787 | 4,787 |
|
Cory K Wakano
120 Pauahi St |
$40.13 | 3,660 | 3,660 |
|
West Hawaii Community Health Center, Inc.
1257 Kilauea Ave |
$179.15 | 3,307 | 3,017 |
|
Jonathan William Mah
111 E Puainako St |
$37.47 | 2,845 | 2,803 |
|
Coleen Sullivan
400 Hualani St |
$35.57 | 1,228 | 1,228 |
|
Shailja Bhatt
400 Hualani St Ste 192 |
$31.50 | 670 | 616 |
|
Garrett O Ota
275 Ponahawai St |
$37.40 | 319 | 319 |
|
Ruth M Ohata
275 Ponahawai St |
$39.24 | 183 | 183 |
|
Jill O Uehara
C/O Island Ohana Dental |
$34.45 | 112 | 112 |
|
Lena Hamakawa
400 Hualani St |
$36.86 | 69 | 69 |
|
Christopher Godla
1221 Kilauea Ave |
$40.91 | 67 | 67 |
What to Expect: Dental Cleaning & Exam
A dental cleaning typically takes 30-60 minutes. A dental hygienist removes plaque and tartar from your teeth using specialized tools, then polishes your teeth. The dentist performs an oral exam to check for cavities, gum disease, and other conditions. X-rays may be taken. Most people need cleanings every 6 months.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation | $28.00 | 136,235,319 | 64,580 |
| D1120 | Child prophylaxis cleaning | $33.46 | 108,321,764 | 53,285 |
| D1110 | Adult prophylaxis cleaning | $43.53 | 58,293,656 | 54,558 |
| D0150 | Comprehensive oral evaluation | $37.52 | 46,846,802 | 53,166 |
| D0140 | Limited oral evaluation | $30.78 | 25,779,640 | 37,203 |
| D0145 | Oral eval patient <3 yrs | $77.14 | 5,590,205 | 11,270 |
| D0160 | Detailed oral evaluation | $41.80 | 694,698 | 945 |
| D0180 | Comprehensive perio evaluation | $25.65 | 198,480 | 674 |
| D0170 | Re-evaluation limited problem | $25.76 | 164,602 | 581 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dental Cleaning & Exam cost in Hilo, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Hilo, HI is $44.66 per claim, based on 69,313 claims from 15 providers. Typical payments fall between $25.53 and $40.26. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dental Cleaning & Exam in Hilo, HI?
There are 15 Medicaid providers offering Dental Cleaning & Exam related services in Hilo, HI according to public payment data.
What is the price range for Dental Cleaning & Exam in Hilo, HI?
Medicaid reimbursement for Dental Cleaning & Exam in Hilo, HI ranges from $31.50 to $179.15 per claim, with an average of $44.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
5,899,905 claims · 889 providers
Chicago, IL
Avg $29.66
4,929,791 claims · 823 providers
Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
3,744,881 claims · 918 providers
Bronx, NY
Avg $31.12
3,317,284 claims · 478 providers
New York, NY
Avg $30.52
3,240,448 claims · 723 providers
Phoenix, AZ
Avg $11.18
2,295,389 claims · 350 providers
San Antonio, TX
Avg $40.74
2,116,599 claims · 429 providers
Other Procedures in Hilo, HI
Office Visit
Avg $62.82
362,488 claims
Personal Care Services
Avg $145.89
162,430 claims
Blood Work & Lab Tests
Avg $7.88
158,231 claims
Psychiatric Evaluation
Avg $84.68
156,351 claims
Emergency Room Visit
Avg $270.52
136,740 claims
Eye Exam
Avg $28.92
121,937 claims
X-Ray
Avg $11.23
100,997 claims
Urinalysis & Urine Tests
Avg $1.19
67,101 claims